Re: Re: Insurance Denial- AGAIN!!!??

[Guest guest]

At 05:29 AM 1/27/02 +0000, leighasmygirl wrote:

Debi,

ARGH!!! I feel your pain! Insurance denials are no fun at all...we

went through 3 with our provider. The bad news is we had to go

through 3 denials and fight tooth and nail to get Leigha's DOC band

approved...the good news is we finally won on a third level appeal.

Its a trying and stressful process to go through and I think there

are a lot of people here who would like to blow up HMO's(I know what

Rehab designs and Dr. Bob think of the moron who fought us for

covering the DOC band.*wink*) Keep fighting...it might be a long

process but it will definatly be worth it when you win - just

remember its nothing personal on you...just the HMO trying to keep

their money...the worst thing in our case was that our insurance

didn't have to even pay full price on the band..they only were

required to cover 45% of the band but they still had to be stupid

about it.

Good luck and hang in there!

- Kansas City, MO

Proud mommy of Austen 12/21/96 and *Leigha 7/22/00

* bicoronal cranisynostosis dx 2/14/01

craniovault reconstruction with front orbit advance 5/01/01

DOC band 5/25/01 - 9/26/01

PS where near Kansas city are you?

>

[Guest guest]

At 05:29 AM 1/27/02 +0000, you wrote:

Debi,

ARGH!!! I feel your pain! Insurance denials are no fun at all...we

went through 3 with our provider.

- Kansas City, MO

Thanks, for the support. I know that it's nothing personal, but

it's just so frustrating and it just seems like they should care more,

especially when they are dealing with children.

PS where near Kansas city are

you?

I am in La Cygne, about an hour south. But I work in Kansas City Kansas,

so I'm in " the city " almost every day. It's nice to meet

another person from my area. I noticed that you went with the DOC

band. I didn't even know that they offered those in the KC area.

That's one reason we used the STARBand. Not that we're unhappy with our

choice. I was just happy to see another person from the KC area who had

gone a different way. I looked on your web site and Mikey was also seen

at Children's Mercy, but not for cranio. That must have been so hard for

you guys to go through.

Thanks again,

Debi and (STARBand 11/29/01)

near Kansas City

[Guest guest]

At 05:29 AM 1/27/02 +0000, you wrote:

Debi,

ARGH!!! I feel your pain! Insurance denials are no fun at all...we

went through 3 with our provider.

- Kansas City, MO

Thanks, for the support. I know that it's nothing personal, but

it's just so frustrating and it just seems like they should care more,

especially when they are dealing with children.

PS where near Kansas city are

you?

I am in La Cygne, about an hour south. But I work in Kansas City Kansas,

so I'm in " the city " almost every day. It's nice to meet

another person from my area. I noticed that you went with the DOC

band. I didn't even know that they offered those in the KC area.

That's one reason we used the STARBand. Not that we're unhappy with our

choice. I was just happy to see another person from the KC area who had

gone a different way. I looked on your web site and Mikey was also seen

at Children's Mercy, but not for cranio. That must have been so hard for

you guys to go through.

Thanks again,

Debi and (STARBand 11/29/01)

near Kansas City

[Guest guest]

At 03:45 AM 1/28/02 +0000, you wrote:

>. If I ever win the lotto I know they'll get a big chunk of my winnings.

Same here. was seen by a great neonatologist from Children's Mercy

(Dr. Fred Hall) when he was in the NICU and then he had surgery at 8 weeks

for a double hernia and the staff was fantastic when we had to stay

overnight. The people who work there should qualify for sainthood. :-)

Thanks for the support on the insurance issue as well. I wonder if it would

do any good to call the prosthetic company and see if they can be of any

help. They submitted the first claim that was pre-authorized, so maybe they

have the paperwork that can help get it through this time. This really

bites since the insurance company sent me a letter and told the helmet

company that it would be authorized and then they turn around and deny it.

I don't know what I'd do without the wisdom and support of this group.

Debi and (STARBand 11/29/01)

near Kansas City